Avra Valley Assisted Living Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9456H Issued in AZ

Legal business name

AVRA VALLEY ASSISTED LIVING HOME LLC

Practice address

1621 N Silverbell Rd
Tucson, AZ 85745-1816

Phone

(520) 622-0488

Fax

(520) 622-0487

NPI assigned

Aug 14, 2014

Last updated

Aug 14, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yolanda ApodacaNPI 1134538440

Title

Owner

Phone

(520) 622-0488

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yolanda Apodaca

  • Attendant Care Provider
  • Tucson, AZ
  • NPI 1134538440
  NPD (past) Authorized official
• Catherine Kamwithi

  • Registered Nurse
  • Tucson, AZ
  • NPI 1952997462
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1336548452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 N SILVERBELL RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857451816",
            "telephone_number": "520-622-0488",
            "fax_number": "520-622-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 N SILVERBELL RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857451816",
            "telephone_number": "520-622-0488",
            "fax_number": "520-622-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVRA VALLEY ASSISTED LIVING HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "APODACA",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-622-0488"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL9456H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING HOME",
            "identifier": "AL9456H",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Avila, CCC-SLP
• Tiffany Avila
• Veronica Avitia
• Aviva Children's Services
• Aviva Medical, LLC
• Avra Valley Reliance Behavioral Home LLC
• Avra Valley Reliance Behavioral Home LLC
• Avra Valley Reliance Behavioral Home LLC
• Aw Broadway and Craycroft, LLC
• Paige Jeanette Awtrey

• Assisted Living Facility in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.